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Swinney P, Dixon E, Williams F, Hardy S. Comparing ultraviolet with chlorine dioxide wipe system for vaginal ultrasound probe cleaning: critical analysis of the term 'cleaning'. Ultrasound Obstet Gynecol 2022; 60:146-147. [PMID: 35776008 DOI: 10.1002/uog.24952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 01/28/2022] [Indexed: 05/27/2023]
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2
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Hardy S, Patrick R, Liesinger L, Pöttler M, Rech L, Gindlhuber J, Mabotuwana N, Ashour D, Stangl V, Bigland M, Murtha L, Starkey M, Scherr D, Hansbro P, Höfler G, Ramos G, Cochain C, Harvey R, Birner-Gruenberger R, Boyle A, Rainer P. Extracellular Matrix Protein 1 as a Mediator of Inflammation-Induced Fibrosis After Myocardial Infarction. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tavabi N, Stück D, Signorini A, Karjadi C, Al Hanai T, Sandoval M, Lemke C, Glass J, Hardy S, Lavallee M, Wasserman B, Ang TFA, Nowak CM, Kainkaryam R, Foschini L, Au R. Cognitive Digital Biomarkers from Automated Transcription of Spoken Language. J Prev Alzheimers Dis 2022; 9:791-800. [PMID: 36281684 DOI: 10.14283/jpad.2022.66] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND Although patients with Alzheimer's disease and other cognitive-related neurodegenerative disorders may benefit from early detection, development of a reliable diagnostic test has remained elusive. The penetration of digital voice-recording technologies and multiple cognitive processes deployed when constructing spoken responses might offer an opportunity to predict cognitive status. OBJECTIVE To determine whether cognitive status might be predicted from voice recordings of neuropsychological testing. DESIGN Comparison of acoustic and (para)linguistic variables from low-quality automated transcriptions of neuropsychological testing (n = 200) versus variables from high-quality manual transcriptions (n = 127). We trained a logistic regression classifier to predict cognitive status, which was tested against actual diagnoses. SETTING Observational cohort study. PARTICIPANTS 146 participants in the Framingham Heart Study. MEASUREMENTS Acoustic and either paralinguistic variables (e.g., speaking time) from automated transcriptions or linguistic variables (e.g., phrase complexity) from manual transcriptions. RESULTS Models based on demographic features alone were not robust (area under the receiver-operator characteristic curve [AUROC] 0.60). Addition of clinical and standard acoustic features boosted the AUROC to 0.81. Additional inclusion of transcription-related features yielded an AUROC of 0.90. CONCLUSIONS The use of voice-based digital biomarkers derived from automated processing methods, combined with standard patient screening, might constitute a scalable way to enable early detection of dementia.
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Affiliation(s)
- N Tavabi
- Rhoda Au, 72 E. Concord Street, Boston University School of Medicine, Boston, MA 02118. Telephone: (617) 358-0089;
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Kammerl IE, Hardy S, Flexeder C, Urmann A, Peierl J, Wang Y, Vosyka O, Frankenberger M, Milger K, Behr J, Koch A, Merl-Pham J, Hauck SM, Pilette C, Schulz H, Meiners S. Activation of immune cell proteasomes in peripheral blood of smokers and COPD patients - implications for therapy. Eur Respir J 2021; 59:13993003.01798-2021. [PMID: 34561290 PMCID: PMC8891681 DOI: 10.1183/13993003.01798-2021] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 07/19/2021] [Indexed: 11/05/2022]
Abstract
Immune cells contain a specialised type of proteasome, i.e. the immunoproteasome, which is required for intracellular protein degradation. Immunoproteasomes are key regulators of immune cell differentiation, inflammatory activation and autoimmunity. Immunoproteasome function in peripheral immune cells might be altered by smoking and in COPD thereby affecting immune cell responses.We here analysed the expression and activity of proteasome complexes in peripheral blood mononuclear cells (PBMC) isolated from healthy male young smokers as well as from patients with severe COPD and compared them to matching controls. Proteasome expression was upregulated in COPD patients as assessed by RT-qPCR and mass spectrometry-based proteomics analysis. Proteasome activity was quantified using activity-based probes and native gel analysis. We observed distinct activation of immunoproteasomes in the peripheral blood cells of young male smokers and severely ill COPD patients. Native gel analysis and linear regression modeling confirmed robust activation and elevated assembly of 20S proteasomes, which correlated significantly with reduced lung function parameters in COPD patients. The immunoproteasome was distinctly activated in COPD patients upon inflammatory cytokine stimulation of PBMCs in vitro Inhibition of the immunoproteasome reduced proinflammatory cytokine expression in COPD-derived blood immune cells.Given the crucial role of chronic inflammatory signalling and the emerging involvement of autoimmune responses in COPD, therapeutic targeting of the immunoproteasome might represent a novel therapeutic concept for COPD.
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Affiliation(s)
- Ilona E Kammerl
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Sophie Hardy
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany.,Cliniques universitaires Saint-Luc, department of pulmonology, and Institute of Experimental and Clinical Research (IREC), Pole of pulmonology, ENT and dermatology, Université catholique de Louvain, Brussels, Belgium
| | - Claudia Flexeder
- Institute of Epidemiology, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Neuherberg, Germany
| | - Andrea Urmann
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Julia Peierl
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Yuqin Wang
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Oliver Vosyka
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Marion Frankenberger
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany.,Institute of Lung Biology and Disease and Comprehensive Pneumology Center with the CPC-M bioArchive, Helmholtz Zentrum Muenchen, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Katrin Milger
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany.,Department of Medicine V, University Hospital, LMU, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Jürgen Behr
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany.,Department of Medicine V, University Hospital, LMU, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - Andrea Koch
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany.,Dept. of Pneumology, Teaching Hospital Pyhrn-Eisenwurzen Klinikum Steyr, Austria
| | - Juliane Merl-Pham
- Research Unit Protein Science, Metabolomics and Proteomics Core, Helmholtz Zentrum München, Munich, Germany
| | - Stefanie M Hauck
- Research Unit Protein Science, Metabolomics and Proteomics Core, Helmholtz Zentrum München, Munich, Germany
| | - Charles Pilette
- Cliniques universitaires Saint-Luc, department of pulmonology, and Institute of Experimental and Clinical Research (IREC), Pole of pulmonology, ENT and dermatology, Université catholique de Louvain, Brussels, Belgium
| | - Holger Schulz
- Institute of Epidemiology, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Neuherberg, Germany
| | - Silke Meiners
- Comprehensive Pneumology Center (CPC), University Hospital, Ludwig-Maximilians- University, Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Munich, Germany
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5
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Zammit M, Hardy S, Harper J, Panarese A, Webb C. 544 Vasculitic Subglottic Stenosis: A Question of Immunosuppression? Br J Surg 2021. [DOI: 10.1093/bjs/znab134.297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
Subglottic stenosis (SGS) is the commonest manifestation of tracheobronchial disease in granulomatosis with polyangiitis (GPA) and carries a high degree of morbidity.
Management of SGS-GPA is a double-edged sword. Delayed treatment may cause respiratory compromise and infectious complications. However, aggressive surgical management may initiate a systemic inflammatory response, reactivating the vasculitic cascade and potentially lead to long-term complications including renal vasculitis and consequential end-stage renal failure.
There is currently no internationally agreed management strategy for this disease.
Method
This retrospective review was undertaken to analyse our unique combination of surgical dilatations and immunosuppressive-focused adjuvant management strategy between years 2011-2020.
Results
Sixteen of our one hundred and nine GPA patients (14.7%) had SGS and were included in our analysis. Whilst three patients (18.8%) improved solely on medical treatment, thirteen (81.3%) required combined surgery and immunosuppression (consisting of cyclophosphamide or Rituximab regimens). Thirty-nine surgical dilatations and two tracheostomies were performed over a mean 53-month follow-up period, with a calculated mean procedure rate of one every 24.8 months (2.7 - 89 months).
Conclusions
Our current management strategy affords a lower procedure rate at every 24.8 months compared to other published studies with combined procedure rate at every 14.9 months.
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Affiliation(s)
- M Zammit
- Broadgreen University Hospital, Liverpool, United Kingdom
| | - S Hardy
- Broadgreen University Hospital, Liverpool, United Kingdom
| | - J Harper
- Broadgreen University Hospital, Liverpool, United Kingdom
| | - A Panarese
- Broadgreen University Hospital, Liverpool, United Kingdom
| | - C Webb
- Broadgreen University Hospital, Liverpool, United Kingdom
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Abstract
Gender variations in health literacy have implications for engagement in preventive behaviours and the uptake of health services, especially in areas such as the Caribbean where there are marked disparities in life expectancy and health service utilization. A self-reported questionnaire was used to examine men's concepts of health, their help-seeking behaviours and their functional and interactive health literacy. Two hundred and forty-eight men across the life course participated at three sites in Trinidad. Data were analysed using descriptive statistics, with free-text responses analysed thematically. Men were concerned about, and accepted responsibility for their own health but social norms concerning sickness and masculinity were barriers to accessing health services. Almost one-third (31.5%) sought advice from a healthcare service when they were last sick because they were prompted to do so by their wife/partner or family. Levels of functional and interactive health literacy were not high among older men, who were reliant on healthcare professionals to communicate health messages. There was an age divide in e-health literacy. There is little published evidence on men's health literacy, particularly from Caribbean countries such as Trinidad and Tobago. This study highlights the importance of the design and implementation of specific policies focusing on men's health. A major challenge is to engage with men who do not access health services.
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Affiliation(s)
- J Wills
- London South Bank University, 101 Borough Road, London SE1 0AA, UK
| | - S Sykes
- London South Bank University, 101 Borough Road, London SE1 0AA, UK
| | - S Hardy
- London South Bank University, 101 Borough Road, London SE1 0AA, UK
| | - M Kelly
- London South Bank University, 101 Borough Road, London SE1 0AA, UK
| | - C Moorley
- London South Bank University, 101 Borough Road, London SE1 0AA, UK
| | - O Ocho
- University of West Indies, Cor. College and St Cecelia Roads, El Dorado, Trinidad and Tobago
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Hardy S, Milano M, Finkelstein A, Tivarus M, Usuki K, Lamay D, Gonsalves L, Venkataraman A, Mohile N, Lin E, Weber M, Culakova E, Schifitto G, Janelsins M. Impact of Radiation Dose to the Amygdala on Emotional and Social Cognition and Depressive Symptoms. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.987] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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8
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Hardy S, Mabotuwana NS, Murtha LA, Coulter B, Bezenilla SS, Al-Omary MS, Senanayake T, Loering S, Rech CLS, Starkey M, Lee RJ, Rainer P, Hansbro PM, Boyle AJ. P6296The role of extracellular matrix protein 1 (ECM1) - a novel link between inflammation and cardiac fibrosis. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Cardiac fibrosis is a severe consequence of cardiovascular disease and aging, in which we currently have no effective treatments. The mechanisms underpinning the development of cardiac fibrosis remains poorly understood. Our preliminary data suggested extracellular matrix protein 1 (ECM1) is involved in cardiac fibrosis. We therefore aimed to investigate the role of ECM1 in several fibrotic cardiac diseases.
Methods
Young and ageing (3m/18m) male C57BL/6 mice, and primary mouse cardiac fibroblast (cFB) cultures, commercial human cardiac fibroblasts (Hu-cFB), human coronary artery endothelial cell (HCAEC)/smooth muscle cell (HCASMC), and human cardiac myocyte (HCM) cell lines were used. Young mice were subject to myocardial infarction (MI, 3-day/28-day, n=6/6), or pressure overload (TAC, 3-day/13-week, n=4/4). Left ventricle (LV) was collected at all time-points, and at 18m (ageing; n=3). Spleen and bone marrow was extracted from young control mice. Hu-cFB cells were treated with recombinant ECM1 (20ng/ml) for either 10, 30 or 50 min, or 48h. Immunoblotting was conducted on all samples, qPCR on LV tissue only, density gradient centrifugation and multicolour flow cytometry coupled with fluorescent ECM1 mRNA in-situ hybridisation (FISH-Flow) on bone marrow cells.
Results
ECM1 expression was upregulated in ageing LV (mRNA 2.2±0.1-fold, p=0.0002; protein 2.0-fold, p=0.0006), day-3 post-MI (mRNA, 4.9±2.0-fold, p=0.004; protein, 3.0-fold, p=0.004), a trend of ECM1 upregulation was observed at day-28 post-MI (mRNA, 13.2±12.0-fold, p=0.003; protein, 1.8-fold, p=0.2), but no change post-TAC. Both ERK1/2 and AKT phosphorylation was upregulated 10 min post-ECM1 treatment of Hu-cFBs (ERK1/2, 2.0-fold, p<0.0001; AKT, 1.9-fold, p<0.0001), and Collagen-I protein expression was upregulated 48h post-ECM1 treatment (1.9-fold, p=0.004). ECM1 protein was not expressed in cFB, Hu-cFB, HCAEC, HCASMC or HCM, however ECM1 protein was highly expressed in spleen and bone marrow; to a greater extent in granulocytes compared to monocytes (p=0.004). tSNE analysis of ECM1 mRNA FISH-Flow revealed ECM1+ are highly granular, moderate to large in size, and express (to varying levels) CD45, CD11b, CD11c, F4/80, Ly6-C, Ly-6G, and FcεrI-α. However ECM1+ cells did not express markers indicative of smaller cells (CD3 or MHC II).
Conclusions
These data demonstrate that ECM1 plays a role in ageing and post-MI fibrosis. Although ECM1 was not produced by resident cardiac cells, it was highly expressed in spleen and bone marrow; specifically, large, granular bone marrow cell sub-types such as granulocytes and/or macrophages. Our data suggest ECM1 is expressed by cardiac infiltrating leukocytes to provoke fibroblast collagen expression in a disease specific manner; potentially via the ERK1/2 and/or AKT pathway activation. Therefore, ECM1 warrants further investigation, and may be a promising target for the treatment of fibrotic cardiac diseases.
Acknowledgement/Funding
John hunter hospital charitable trust, Hunter medical research institute (HMRI) grants
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Affiliation(s)
- S Hardy
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - N S Mabotuwana
- University of Newcastle, Cardiovascular Research Group, Newcastle, Australia
| | - L A Murtha
- University of Newcastle, Cardiovascular Research Group, Newcastle, Australia
| | - B Coulter
- University of Newcastle, Cardiovascular Research Group, Newcastle, Australia
| | - S S Bezenilla
- University of Newcastle, Priority Research Centre's for Health Lungs and GrowUpWell, Newcastle, Australia
| | - M S Al-Omary
- University of Newcastle, Cardiovascular Research Group, Newcastle, Australia
| | - T Senanayake
- University of Newcastle, Cardiovascular Research Group, Newcastle, Australia
| | - S Loering
- University of Newcastle, Priority Research Centre's for Health Lungs and GrowUpWell, Newcastle, Australia
| | - C L S Rech
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - M Starkey
- University of Newcastle, Priority Research Centre's for Health Lungs and GrowUpWell, Newcastle, Australia
| | - R J Lee
- University of California San Francisco, Division of Cardiology, San Francisco, United States of America
| | - P Rainer
- Medical University of Graz, Division of Cardiology, Graz, Austria
| | - P M Hansbro
- University of Technology, Sydney, Center for Inflammation, Faculty of Science, Sydney, Australia
| | - A J Boyle
- University of Newcastle, Cardiovascular Research Group, Newcastle, Australia
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Doucette C, Hardy S, Pandya C, Milano M. Health-Related Quality of Life in Early Stage Lung Cancer: A SEER-MHOS Analysis. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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10
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Murtha L, Mabotuwana N, Hardy S, Bigland M, Coulter B, Hwang J, Ye J, Hume R, Chong J, Lee R, Boyle A. Fibulin-3 is Necessary for the Formation of Infarct-Induced Cardiac Fibrosis. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hardy S, Yang H, Wachterman J, Bylund K. Comparison of Outcomes from Adjuvant Radiation Including Pelvic Lymph Nodes Versus Prostate Bed Only Radiation for Prostate Cancer after Prostatectomy and Interaction with Pelvic Lymph Node Dissection. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Bromfield SG, Hardy S, Sullivan S, Hammadah M, Shah A, Levantsevych O, Kaseer B, Elon L, Li L, Bremner JD, Quyyumi A, Vaccarino V, Lewis TT. 0705 Short Sleep Duration is Associated with Lower Stress-Induced Blood Pressure Reactivity in Young Women with Early-Onset Myocardial Infarction, But Not Men. Sleep 2018. [DOI: 10.1093/sleep/zsy061.704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - S Hardy
- Emory University, Atlanta, GA
| | | | | | - A Shah
- Emory University, Atlanta, GA
| | | | | | - L Elon
- Emory University, Atlanta, GA
| | - L Li
- Emory University, Atlanta, GA
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Hardy S, Fattah S, Wisborg T, Raatiniemi L, Staff T, Rehn M. Correction to: Systematic reporting to improve the emergency medical response to major incidents: a pilot study. BMC Emerg Med 2018; 18:6. [PMID: 29426282 PMCID: PMC5807770 DOI: 10.1186/s12873-018-0157-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Accepted: 02/01/2018] [Indexed: 11/10/2022] Open
Affiliation(s)
- Sophie Hardy
- Emergency Department, St George's Hospital, Tooting, London, UK.
| | - Sabina Fattah
- The Norwegian Air Ambulance Foundation, Drøbak, Norway.,Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway
| | - Torben Wisborg
- Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.,Hammerfest Hospital, Department of, Anaesthesiology and Intensive Care, Finnmark Health Trust, Hammerfest, Norway.,Norwegian National Advisory Unit on Trauma, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway
| | - Lasse Raatiniemi
- Hammerfest Hospital, Department of, Anaesthesiology and Intensive Care, Finnmark Health Trust, Hammerfest, Norway.,Centre for Pre-Hospital Emergency Care/ FinnHEMS 50, Oulu University Hospital, Oulu, Finland.,Anaesthesia Research Group, MRC, University of Oulu, Oulu, Finland
| | - Trine Staff
- Paramedic Sciences, Oslo and Akershus University College, Oslo, Norway
| | - Marius Rehn
- The Norwegian Air Ambulance Foundation, Drøbak, Norway.,Department of Health Studies, University of Stavanger, Stavanger, Norway.,Division of Emergencies and Critical Care. Department of Anaesthesia, Oslo University Hospital, Oslo, Norway
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Hardy S, Fattah S, Wisborg T, Raatiniemi L, Staff T, Rehn M. Systematic reporting to improve the emergency medical response to major incidents: a pilot study. BMC Emerg Med 2018; 18:4. [PMID: 29368642 PMCID: PMC5784690 DOI: 10.1186/s12873-018-0153-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2017] [Accepted: 01/07/2018] [Indexed: 11/18/2022] Open
Abstract
Background Major incidents affect us globally, and are occurring with increasing frequency. There is still no evidence-based standard regarding the best medical emergency response to major incidents. Currently, reports on major incidents are non-standardised and variable in quality. This pilot study examines the first systematic reports from a consensus-based, freely accessible database, aiming to identify how descriptive analysis of reports submitted to this database can be used to improve the major incident response. Methods Majorincidentreporting.net is a website collecting reports on major incidents using a standardised template. Data from these reports were analysed to compare the emergency response to each incident. Results Data from eight reports showed that effective triage by experienced individuals and the use of volunteers for transport were notable successes of the major incident response. Inadequate resources, lack of a common triage system, confusion over command and control and failure of communication were reported failures. The following trends were identified: Fires had the slowest times for several aspects of the response and the only three countries to have a single dialling number for all three emergency services had faster response times. Helicopter Emergency Medical services (HEMS) were used for transport and treatment in rural locations and for triage and treatment in urban locations. In two incidents, a major incident was declared before the arrival of the first Emergency Medical Services (EMS) personnel. Conclusion This study shows that we can obtain relevant data from major incidents by using systematic reporting. Though the sample size from this pilot study is not large enough to draw any specific conclusions it illustrates the potential for future analyses. Identified lessons could be used to improve the emergency medical response to major incidents.
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Affiliation(s)
- Sophie Hardy
- Emergency Department, St George's Hospital, Tooting, London, UK.
| | - Sabina Fattah
- The Norwegian Air Ambulance Foundation, Drøbak, Norway.,Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway
| | - Torben Wisborg
- Anaesthesia and Critical Care Research Group, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway.,Hammerfest Hospital, Department of Anaesthesiology and Intensive Care, Finnmark Health Trust, Hammerfest, Norway.,Norwegian National Advisory Unit on Trauma, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway
| | - Lasse Raatiniemi
- Hammerfest Hospital, Department of Anaesthesiology and Intensive Care, Finnmark Health Trust, Hammerfest, Norway.,Centre for Pre-Hospital Emergency Care/ FinnHEMS 50, Oulu University Hospital, Oulu, Finland.,Anaesthesia Research Group, MRC, University of Oulu, Oulu, Finland
| | - Trine Staff
- Paramedic Sciences, Oslo and Akershus University College, Oslo, Norway
| | - Marius Rehn
- The Norwegian Air Ambulance Foundation, Drøbak, Norway.,Department of Health Studies, University of Stavanger, Stavanger, Norway.,Division of Emergencies and Critical Care. Department of Anaesthesia, Oslo University Hospital, Oslo, Norway
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Murtha L, Mabotuwana N, Hardy S, Boyle A. Understanding the Mechanisms of Murine Cardiac Fibrosis: Fibulin-3 May Play an Important Role in Extracellular Matrix Remodelling. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Hardy S, Boyle A, Murth L, Mabotuwana N, Coulter B, Naudin C, Rainer P, Al-Omary M. The Role of Extracellular Matrix Protein 1 (ECM1) in Cardiac Fibrosis. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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18
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Hardy S, Milano M. Death from Cerebrovascular Disease in Younger Patients Treated with Radiation Therapy for Head and Neck Cancer: A SEER Database Study. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Heckman EJ, Salazar R, Hardy S, Manders E, Liu Y, Au R, O’Connor G, Thomas R. 0780 WEARABLE SLEEP EPIDEMIOLOGY IN THE FRAMINGHAM HEART STUDY. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.779] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Hardy S, Hashemi K, Catanese M, Candil M, Zufferey P, Gabison E, Guex-Crosier Y. Necrotising Scleritis and Peripheral Ulcerative Keratitis Associated with Rheumatoid Arthritis Treated with Rituximab. Klin Monbl Augenheilkd 2017; 234:567-570. [DOI: 10.1055/s-0042-121315] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S. Hardy
- Jules Gonin Eye Hospital, Ophthalmology Department, Lausanne University Hospital, Jules Gonin Eye Hospital chairman ad interim: Prof. Dr. med Thomas Wolfensberger, FAA, Lausanne Switzerland
| | - K. Hashemi
- Jules Gonin Eye Hospital, Ophthalmology Department, Lausanne University Hospital, Jules Gonin Eye Hospital chairman ad interim: Prof. Dr. med Thomas Wolfensberger, FAA, Lausanne Switzerland
| | - M. Catanese
- Jules Gonin Eye Hospital, Ophthalmology Department, Lausanne University Hospital, Jules Gonin Eye Hospital chairman ad interim: Prof. Dr. med Thomas Wolfensberger, FAA, Lausanne Switzerland
| | - M. Candil
- CHUV Centre Hospitalier Universitaire Vaudois (CHUV), Department of Rheumatology, Département de lʼappareil locomoteur, CHUV chairman: Prof. Dr. med Alexander So, Lausanne University Hospital (CHUV), Lausanne, Switzerland
| | - P. Zufferey
- CHUV Centre Hospitalier Universitaire Vaudois (CHUV), Department of Rheumatology, Département de lʼappareil locomoteur, CHUV chairman: Prof. Dr. med Alexander So, Lausanne University Hospital (CHUV), Lausanne, Switzerland
| | - E. Gabison
- Jules Gonin Eye Hospital, Ophthalmology Department, Lausanne University Hospital, Jules Gonin Eye Hospital chairman ad interim: Prof. Dr. med Thomas Wolfensberger, FAA, Lausanne Switzerland
| | - Y. Guex-Crosier
- Jules Gonin Eye Hospital, Ophthalmology Department, Lausanne University Hospital, Jules Gonin Eye Hospital chairman ad interim: Prof. Dr. med Thomas Wolfensberger, FAA, Lausanne Switzerland
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Haque A, Rahi A, Al-Khaffaf H, Hardy S, Salaman R, O'Donnell M. Sartorius muscle flap as rescue management in infected, dehisced, vascular prosthetic graft wounds. A case series. Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.08.486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Turner PJ, Baumert JL, Beyer K, Boyle RJ, Chan CH, Clark AT, Crevel RWR, DunnGalvin A, Fernández-Rivas M, Gowland MH, Grabenhenrich L, Hardy S, Houben GF, O'B Hourihane J, Muraro A, Poulsen LK, Pyrz K, Remington BC, Schnadt S, van Ree R, Venter C, Worm M, Mills ENC, Roberts G, Ballmer-Weber BK. Can we identify patients at risk of life-threatening allergic reactions to food? Allergy 2016; 71:1241-55. [PMID: 27138061 DOI: 10.1111/all.12924] [Citation(s) in RCA: 150] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/26/2016] [Indexed: 12/31/2022]
Abstract
Anaphylaxis has been defined as a 'severe, life-threatening generalized or systemic hypersensitivity reaction'. However, data indicate that the vast majority of food-triggered anaphylactic reactions are not life-threatening. Nonetheless, severe life-threatening reactions do occur and are unpredictable. We discuss the concepts surrounding perceptions of severe, life-threatening allergic reactions to food by different stakeholders, with particular reference to the inclusion of clinical severity as a factor in allergy and allergen risk management. We review the evidence regarding factors that might be used to identify those at most risk of severe allergic reactions to food, and the consequences of misinformation in this regard. For example, a significant proportion of food-allergic children also have asthma, yet almost none will experience a fatal food-allergic reaction; asthma is not, in itself, a strong predictor for fatal anaphylaxis. The relationship between dose of allergen exposure and symptom severity is unclear. While dose appears to be a risk factor in at least a subgroup of patients, studies report that individuals with prior anaphylaxis do not have a lower eliciting dose than those reporting previous mild reactions. It is therefore important to consider severity and sensitivity as separate factors, as a highly sensitive individual will not necessarily experience severe symptoms during an allergic reaction. We identify the knowledge gaps that need to be addressed to improve our ability to better identify those most at risk of severe food-induced allergic reactions.
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Affiliation(s)
- P. J. Turner
- Section of Paediatrics (Allergy and Infectious Diseases) & MRC and Asthma UK Centre in Allergic Mechanisms of Asthma; Imperial College London; London UK
| | - J. L. Baumert
- Food Allergy Research and Resource Program; Department of Food Science and Technology; University of Nebraska; Lincoln NE USA
| | - K. Beyer
- Department of Pediatric Pneumology and Immunology; Charité Universitätsmedizin; Berlin Germany
| | - R. J. Boyle
- Section of Paediatrics (Allergy and Infectious Diseases) & MRC and Asthma UK Centre in Allergic Mechanisms of Asthma; Imperial College London; London UK
| | | | - A. T. Clark
- Cambridge University Hospitals NHS Foundation Trust; Cambridge UK
| | - R. W. R. Crevel
- Safety and Environmental Assurance Centre; Unilever; Colworth Science Park; Sharnbrook Bedford UK
| | - A. DunnGalvin
- Applied Psychology and Paediatrics and Child Health; University College Cork; Cork Ireland
| | | | | | - L. Grabenhenrich
- Institute for Social Medicine; Epidemiology and Health Economics; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - S. Hardy
- Food Standards Agency; London UK
| | | | - J. O'B Hourihane
- Paediatrics and Child Health; University College Cork; Cork Ireland
| | - A. Muraro
- Department of Paediatrics; Centre for Food Allergy Diagnosis and Treatment; University of Padua; Veneto Italy
| | - L. K. Poulsen
- Allergy Clinic; Copenhagen University Hospital at Gentofte; Copenhagen Denmark
| | - K. Pyrz
- Applied Psychology and Paediatrics and Child Health; University College Cork; Cork Ireland
| | | | - S. Schnadt
- German Allergy and Asthma Association (Deutscher Allergie- und Asthmabund (DAAB)); Mönchengladbach Germany
| | - R. van Ree
- Departments of Experimental Immunology and of Otorhinolaryngology; Academic Medical Center; University of Amsterdam; Amsterdam The Netherlands
| | - C. Venter
- School of Health Sciences and Social Work; University of Portsmouth; Portsmouth UK
- The David Hide Asthma and Allergy Research Centre; St Mary's Hospital; Isle of Wight UK
| | - M. Worm
- Allergy-Center Charité; Department of Dermatology and Allergy; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - E. N. C. Mills
- Institute of Inflammation and Repair; Manchester Academic Health Science Centre; Manchester Institute of Biotechnology; The University of Manchester; Manchester UK
| | - G. Roberts
- The David Hide Asthma and Allergy Research Centre; St Mary's Hospital; Isle of Wight UK
- NIHR Respiratory Biomedical Research Unit; University Hospital Southampton NHS Foundation Trust and Human Development and Health Academic Unit; University of Southampton Faculty of Medicine; Southampton UK
| | - B. K. Ballmer-Weber
- Allergy Unit; Department of Dermatology; University Hospital; University Zürich; Zürich Switzerland
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Dawson M, Hardy S, Blann AD. Book Reviews. Br J Biomed Sci 2016. [DOI: 10.1080/09674845.2007.11732785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Vandemergel X, Ilisei D, Hardy S, Lefebvre M. [Incomplete form of hypertrophc osteoarthropathy in a patient with breast cancer]. Rev Med Liege 2015; 70:486-487. [PMID: 26727836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Hypertrophic osteoarthropathy is sometimes the paraneoplasic manifestation of cancer of pulmonary origin. It is rarely present in case of breast cancer, even at a metastatic stage. In its complete form, this entity includes periostitis (predominantly bilateral and affecting upper and lower limbs), digital clubbing and, rarely, arthritis. We report the case of a female patient with metastatic breast cancer and an incomplete form of hypertrophic osteoarthropathy, clearly asymetric and without digital clubbing.
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Ratkiewicz A, Cizewski J, Pain S, Adekola A, Burke J, Casperson R, Fotiades N, McCleskey M, Burcher S, Shand C, Austin R, Baugher T, Carpenter M, Devlin M, Escher J, Hardy S, Hatarik R, Howard M, Hughes R, Jones K, Kozub R, Lister C, Manning B, O’Donnell J, Peters W, Ross T, Scielzo N, Seweryniak D, Zhu S. Validating (d,pγ) as a Surrogate for Neutron Capture. EPJ Web of Conferences 2015. [DOI: 10.1051/epjconf/20159302012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Winship G, Hardy S, Bray J. Skellern Lecture and the Journal of Psychiatric and Mental Health Nursing Lifetime Achievement Award 2015. J Psychiatr Ment Health Nurs 2015; 22:223-5. [PMID: 25912267 DOI: 10.1111/jpm.12218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- G Winship
- School of Education, University of Nottingham, Nottingham; Institute of Mental Health, Universities Psychotherapy & Counselling Association Training Standards Chair, Nottingham
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Miramonti L, Bellini G, Benziger J, Bick D, Bonfini G, Bravo D, Buizza Avanzini M, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cavalcante P, Chavarria A, Chubakov V, D'Angelo D, Davini S, Derbin A, Etenko A, Fomenko K, Franco D, Galbiati C, Gazzana S, Ghiano C, Giammarchi M, Göger-Neff M, Goretti A, Grandi L, Guardincerri E, Hardy S, Ianni A, Ianni A, Kobychev V, Korablev D, Korga G, Koshio Y, Kryn D, Laubenstein M, Lewke T, Lissia M, Litvinovich E, Loer B, Lombardi F, Lombardi P, Ludhova L, Machulin I, Manecki S, Maneschg W, Mantovani F, Manuzio G, Meindl Q, Meroni E, Misiaszek M, Montanari D, Mosteiro P, Muratova V, Nisi S, Oberauer L, Obolensky M, Ortica F, Otis K, Pallavicini M, Papp L, Perasso L, Perasso S, Pocar A, Ranucci G, Razeto A, Re A, Romani A, Rossi N, Sabelnikov A, Saldanha R, Salvo C, Schönert S, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vogelaar RB, von Feilitzsch F, Winter J, Wojcik M, Wright A, Wurm M, Xhixha G, Xu J, Zaimidoroga O, Zavatarelli S, Zuzel G. Lifetimes of (214)Po and (212)Po measured with Counting Test Facility at Gran Sasso National Laboratory. J Environ Radioact 2014; 138:444-446. [PMID: 24725806 DOI: 10.1016/j.jenvrad.2014.02.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2013] [Revised: 12/16/2013] [Accepted: 02/27/2014] [Indexed: 06/03/2023]
Abstract
The decays of (214)Po into (210)Pb and of (212)Po into (208)Pb tagged by the previous decays from (214)Bi and (212)Bi have been studied inserting quartz vials inside the Counting Test Facility (CTF) at the underground laboratory in Gran Sasso (LNGS). We find that the mean lifetime of (214)Po is (236.00 ± 0.42(stat) ± 0.15(syst)) μs and that of (212)Po is (425.1 ± 0.9(stat) ± 1.2(syst)) ns. Our results are compatible with previous measurements, have a much better signal to background ratio, and reduce the overall uncertainties.
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Affiliation(s)
- L Miramonti
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - J Benziger
- Chemical Engineering Department, Princeton University, Princeton, NJ 08544, USA
| | - D Bick
- Institut für Experimentalphysik, Universität Hamburg, Germany
| | - G Bonfini
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - D Bravo
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - M Buizza Avanzini
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - B Caccianiga
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - L Cadonati
- Physics Department, University of Massachusetts, Amherst, MA 01003, USA
| | - F Calaprice
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - C Carraro
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - P Cavalcante
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - A Chavarria
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - V Chubakov
- Dipartimento di Fisica, Università di Ferrara and INFN Ferrara, 44100 Ferrara, Italy
| | - D D'Angelo
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - S Davini
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - A Derbin
- St. Petersburg Nuclear Physics Institute, Gatchina 188350, Russia
| | - A Etenko
- NRC Kurchatov Institute, Moscow 123182, Russia
| | - K Fomenko
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - D Franco
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - C Galbiati
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - S Gazzana
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - C Ghiano
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - M Giammarchi
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - M Göger-Neff
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - A Goretti
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - L Grandi
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - E Guardincerri
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - S Hardy
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - Aldo Ianni
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - Andrea Ianni
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - V Kobychev
- Kiev Institute for Nuclear Research, Kiev 06380, Ukraine
| | - D Korablev
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - G Korga
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - Y Koshio
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - D Kryn
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - M Laubenstein
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - T Lewke
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - M Lissia
- Istituto Nazionale di Fisica Nucleare, Sezione di Cagliari, I-09042 Monserrato, Italy
| | | | - B Loer
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - F Lombardi
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - P Lombardi
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - L Ludhova
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - I Machulin
- NRC Kurchatov Institute, Moscow 123182, Russia
| | - S Manecki
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - W Maneschg
- Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany
| | - F Mantovani
- Dipartimento di Fisica, Università di Ferrara and INFN Ferrara, 44100 Ferrara, Italy.
| | - G Manuzio
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - Q Meindl
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - E Meroni
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - M Misiaszek
- M. Smoluchowski Institute of Physics, Jagellonian University, Krakow, 30059, Poland
| | - D Montanari
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - P Mosteiro
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - V Muratova
- St. Petersburg Nuclear Physics Institute, Gatchina 188350, Russia
| | - S Nisi
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - L Oberauer
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - M Obolensky
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - F Ortica
- Dipartimento di Chimica, Università e INFN, Perugia 06123, Italy
| | - K Otis
- Physics Department, University of Massachusetts, Amherst, MA 01003, USA
| | - M Pallavicini
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - L Papp
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - L Perasso
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - S Perasso
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - A Pocar
- Physics Department, University of Massachusetts, Amherst, MA 01003, USA
| | - G Ranucci
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - A Razeto
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - A Re
- Dipartimento di Fisica, Università degli Studi e INFN, Milano 20133, Italy
| | - A Romani
- Dipartimento di Chimica, Università e INFN, Perugia 06123, Italy
| | - N Rossi
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | | | - R Saldanha
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - C Salvo
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - S Schönert
- Physik Department, Technische Universität München, Garching 85747, Germany; Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany
| | - H Simgen
- Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany
| | | | - O Smirnov
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - A Sotnikov
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - S Sukhotin
- NRC Kurchatov Institute, Moscow 123182, Russia
| | - Y Suvorov
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy; NRC Kurchatov Institute, Moscow 123182, Russia
| | - R Tartaglia
- INFN Laboratori Nazionali del Gran Sasso, Assergi 67010, Italy
| | - G Testera
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - D Vignaud
- Laboratoire AstroParticule et Cosmologie, 75231 Paris Cedex 13, France
| | - R B Vogelaar
- Physics Department, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA
| | - F von Feilitzsch
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - J Winter
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - M Wojcik
- M. Smoluchowski Institute of Physics, Jagellonian University, Krakow, 30059, Poland
| | - A Wright
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - M Wurm
- Physik Department, Technische Universität München, Garching 85747, Germany
| | - G Xhixha
- Dipartimento di Fisica, Università di Ferrara and INFN Ferrara, 44100 Ferrara, Italy
| | - J Xu
- Physics Department, Princeton University, Princeton, NJ 08544, USA
| | - O Zaimidoroga
- Joint Institute for Nuclear Research, Dubna 141980, Russia
| | - S Zavatarelli
- Dipartimento di Fisica, Università e INFN, Genova 16146, Italy
| | - G Zuzel
- Max-Plank-Institut für Kernphysik, Heidelberg 69029, Germany; M. Smoluchowski Institute of Physics, Jagellonian University, Krakow, 30059, Poland
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McCauley K, Cross W, Moss C, Walsh K, Schofield C, Handley C, Fitzgerald M, Hardy S. What does practice development (PD) offer mental health-care contexts? A comparative case study of PD methods and outcomes. J Psychiatr Ment Health Nurs 2014; 21:724-37. [PMID: 24698157 DOI: 10.1111/jpm.12134] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/26/2013] [Indexed: 11/30/2022]
Abstract
Practice development (PD) in mental health nursing has been progressing over the last decade; however, the level and impact of PD activity in the field of mental health remains poorly understood outside localized project impact. More specific reporting and comparative analysis of PD outcomes will improve this situation. In response, this paper presents three case scenarios from work taking place in Australia and New Zealand, as working examples of how PD methodologies have been applied within mental health practice settings. Using a comparative framework that captures the contributing assumptions, practices, processes and conditions imperative to effective PD work within a mental health-care context, three case vignettes are reviewed. The critical question driving this paper is 'what mental health-care services does PD offer in terms of transformational change approaches and the promotion of effective workplace cultures?' Conditions considered necessary for successful PD initiatives within mental health contexts are explored such as how PD converges and diverges with mental health-related theories, plus where and how PD activity best integrates with the specific elements associated with mental health-care provision. The findings are further reviewed in line with reports of PD outcomes from other fields of health care.
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Affiliation(s)
- K McCauley
- School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton Campus, Melbourne, Vic
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Hardy S, Uetani N, Wong N, Kostantin E, Labbé DP, Bégin LR, Mes-Masson A, Miranda-Saavedra D, Tremblay ML. The protein tyrosine phosphatase PRL-2 interacts with the magnesium transporter CNNM3 to promote oncogenesis. Oncogene 2014; 34:986-95. [DOI: 10.1038/onc.2014.33] [Citation(s) in RCA: 81] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2013] [Revised: 12/11/2013] [Accepted: 01/06/2014] [Indexed: 01/07/2023]
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Gonem S, Hardy S, Buhl N, Soares M, Costanza R, Gustafsson P, Brightling CE, Owers-Bradley J, Siddiqui S. S120 Hyperpolarised 3HE diffusion MRI and multiple breath inert gas washout in patients with asthma: Abstract S120 Table 1. Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
The objective was to consider the feasibility of food diaries as a method of understanding the dietary behaviour of people with schizophrenia. Examination of the food diaries completed in 1 week by eight patients with schizophrenia. All the patients were successful in completing the task. Examination of the food diaries revealed that: eating fruit and vegetables was largely absent; there was very little variety in most of the patients' diets; patients relied heavily on convenience food and ready meals for their main meal; as a rule patients followed an ordered mealtime routine; generally patients did not drink enough fluid; they were not big treat eaters; only one patient recorded drinking any alcohol; overall there appeared to be poor diet literacy in our small sample. The results show that on the whole, people with schizophrenia have a poor diet. This could be due to a combination of financial difficulty, lack of skills in food preparation, lack of motivation to prepare food or ignorance of what constitutes a healthy diet. The fact that they all managed to complete the task is perhaps evidence of motivation to improve their health and demonstrates the utility of food diaries in educating this population.
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Affiliation(s)
- S Hardy
- The Northampton Physical Health and Well-Being Project, UK.
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Affiliation(s)
- S L Price
- School of Allied Health Sciences, Faculty of Health and Life Sciences, De Montfort University, Leicester LE1 9BH, UK
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Bellini G, Benziger J, Bick D, Bonetti S, Bonfini G, Bravo D, Buizza Avanzini M, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cavalcante P, Chavarria A, Chepurnov A, D'Angelo D, Davini S, Derbin A, Etenko A, Fomenko K, Franco D, Galbiati C, Gazzana S, Ghiano C, Giammarchi M, Goeger-Neff M, Goretti A, Grandi L, Guardincerri E, Hardy S, Ianni A, Ianni A, Korablev D, Korga G, Koshio Y, Kryn D, Laubenstein M, Lewke T, Litvinovich E, Loer B, Lombardi F, Lombardi P, Ludhova L, Machulin I, Manecki S, Maneschg W, Manuzio G, Meindl Q, Meroni E, Miramonti L, Misiaszek M, Montanari D, Mosteiro P, Muratova V, Oberauer L, Obolensky M, Ortica F, Otis K, Pallavicini M, Papp L, Perasso L, Perasso S, Pocar A, Quirk J, Raghavan RS, Ranucci G, Razeto A, Re A, Romani A, Sabelnikov A, Saldanha R, Salvo C, Schönert S, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vogelaar RB, von Feilitzsch F, Winter J, Wojcik M, Wright A, Wurm M, Xu J, Zaimidoroga O, Zavatarelli S, Zuzel G. First evidence of pep solar neutrinos by direct detection in Borexino. Phys Rev Lett 2012; 108:051302. [PMID: 22400925 DOI: 10.1103/physrevlett.108.051302] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2011] [Indexed: 05/31/2023]
Abstract
We observed, for the first time, solar neutrinos in the 1.0-1.5 MeV energy range. We determined the rate of pep solar neutrino interactions in Borexino to be 3.1±0.6{stat}±0.3{syst} counts/(day·100 ton). Assuming the pep neutrino flux predicted by the standard solar model, we obtained a constraint on the CNO solar neutrino interaction rate of <7.9 counts/(day·100 ton) (95% C.L.). The absence of the solar neutrino signal is disfavored at 99.97% C.L., while the absence of the pep signal is disfavored at 98% C.L. The necessary sensitivity was achieved by adopting data analysis techniques for the rejection of cosmogenic {11}C, the dominant background in the 1-2 MeV region. Assuming the Mikheyev-Smirnov-Wolfenstein large mixing angle solution to solar neutrino oscillations, these values correspond to solar neutrino fluxes of (1.6±0.3)×10{8} cm{-2} s^{-1} and <7.7×10{8} cm{-2} s{-1} (95% C.L.), respectively, in agreement with both the high and low metallicity standard solar models. These results represent the first direct evidence of the pep neutrino signal and the strongest constraint of the CNO solar neutrino flux to date.
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Affiliation(s)
- G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
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Happell B, Platania-Phung C, Gray R, Hardy S, Lambert T, McAllister M, Davies C. A role for mental health nursing in the physical health care of consumers with severe mental illness. J Psychiatr Ment Health Nurs 2011; 18:706-11. [PMID: 21896113 DOI: 10.1111/j.1365-2850.2010.01666.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
There is extensive international evidence that people with severe mental illness have a lower standard of physical health than the general population. This leads to higher morbidity and mortality rates. Many of the causes for this poor physical health are modifiable. Yet the physical needs of this consumer group are neglected by healthcare systems in Australia, and elsewhere. While medical specialists are clearly integral to remedying this, nurses are well placed to play a key role in focused prevention and early intervention in the physical well-being of consumers with mental health problems. This paper outlines the specifics on how mental health nurses can be sensitized, prepared and empowered to help turn this serious health issue around. In particular, mental health nurses could be trained in and then utilize a new physical health check and response system in the UK (called the Health Improvement Profile) if adapted for use within Australia. This profile will be briefly introduced, and then its value to improving health care discussed.
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Affiliation(s)
- B Happell
- Institute for Health and Social Science Research and School of Nursing and Midwifery, CQ University Australia, Rockhampton, QLD, Australia.
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Hardy S, White J, Deane K, Gray R. Educating healthcare professionals to act on the physical health needs of people with serious mental illness: a systematic search for evidence. J Psychiatr Ment Health Nurs 2011; 18:721-7. [PMID: 21896115 DOI: 10.1111/j.1365-2850.2011.01722.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Healthcare professionals in primary and secondary care should monitor the physical health of people with serious mental illness, yet in practice this does not appear to be a routine intervention. Our objective is to develop evidence-based training for healthcare professionals to enable them all to offer better physical care to this population. We performed a systematic search with the aim of evaluating the current evidence of the efficacy of education interventions. Search terms covered Severe Mental Illness, Physical Health and Education. The search yielded 147 papers, of which none were eligible for inclusion. A number of studies were excluded from this review as although there was an implicit education package provided to healthcare professionals, no information was reported on the outcomes of this education with regard to healthcare professionals' knowledge, attitudes and behaviours. The only information that these studies provided was patient-specific outcomes. It is vital that researchers start to publish details of healthcare professional education and their outcomes in physical health and serious mental illness research.
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Affiliation(s)
- S Hardy
- PhyHWell Project, Northamptonshire teaching PCT, Norwich, UK.
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Bellini G, Benziger J, Bick D, Bonetti S, Bonfini G, Buizza Avanzini M, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cavalcante P, Chavarria A, D'Angelo D, Davini S, Derbin A, Etenko A, Fomenko K, Franco D, Galbiati C, Gazzana S, Ghiano C, Giammarchi M, Goeger-Neff M, Goretti A, Grandi L, Guardincerri E, Hardy S, Ianni A, Ianni A, Kobychev V, Korablev D, Korga G, Koshio Y, Kryn D, Laubenstein M, Lewke T, Litvinovich E, Loer B, Lombardi F, Lombardi P, Ludhova L, Machulin I, Manecki S, Maneschg W, Manuzio G, Meindl Q, Meroni E, Miramonti L, Misiaszek M, Montanari D, Mosteiro P, Muratova V, Oberauer L, Obolensky M, Ortica F, Pallavicini M, Papp L, Peña-Garay C, Perasso L, Perasso S, Pocar A, Raghavan RS, Ranucci G, Razeto A, Re A, Romani A, Sabelnikov A, Saldanha R, Salvo C, Schönert S, Simgen H, Skorokhvatov M, Smirnov O, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vogelaar RB, von Feilitzsch F, Winter J, Wojcik M, Wright A, Wurm M, Xu J, Zaimidoroga O, Zavatarelli S, Zuzel G. Precision measurement of the (7)Be solar neutrino interaction rate in Borexino. Phys Rev Lett 2011; 107:141302. [PMID: 22107184 DOI: 10.1103/physrevlett.107.141302] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2011] [Revised: 07/22/2011] [Indexed: 05/31/2023]
Abstract
The rate of neutrino-electron elastic scattering interactions from 862 keV (7)Be solar neutrinos in Borexino is determined to be 46.0±1.5(stat)(-1.6)(+1.5)(syst) counts/(day·100 ton). This corresponds to a ν(e)-equivalent (7)Be solar neutrino flux of (3.10±0.15)×10(9) cm(-2) s(-1) and, under the assumption of ν(e) transition to other active neutrino flavours, yields an electron neutrino survival probability of 0.51±0.07 at 862 keV. The no flavor change hypothesis is ruled out at 5.0 σ. A global solar neutrino analysis with free fluxes determines Φ(pp)=6.06(-0.06)(+0.02)×10(10) cm(-2) s(-1) and Φ(CNO)<1.3×10(9) cm(-2) s(-1) (95% C.L.). These results significantly improve the precision with which the Mikheyev-Smirnov-Wolfenstein large mixing angle neutrino oscillation model is experimentally tested at low energy.
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Affiliation(s)
- G Bellini
- Dipartimento di Fisica, Università degli Studi e INFN, 20133 Milano, Italy
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Paton C, Flynn A, Shingleton-Smith A, McIntyre S, Bhaumik S, Rasmussen J, Hardy S, Barnes T. Nature and quality of antipsychotic prescribing practice in UK psychiatry of intellectual disability services. J Intellect Disabil Res 2011; 55:665-74. [PMID: 21507097 DOI: 10.1111/j.1365-2788.2011.01421.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
BACKGROUND Antipsychotics are perceived to be over-used in the management of behavioural problems in people with an intellectual disability (ID). Published guidelines have set good practice standards for the use of these drugs for behavioural indications. We sought to identify the range of indications for which antipsychotic drugs are prescribed in people with ID and to audit clinical practice against the standards. METHOD Data were collected from the clinical records of individuals with ID who were under the care of mental health services in the UK, and prescribed an antipsychotic drug. RESULTS The sample comprised 2319 patients from 39 clinical services. Twenty-seven per cent of the patients had a diagnosis of a psychotic illness (ICD-10 F20-29) and 27% an affective illness (ICD-10 F30-39). The proportion who did not have a psychiatric diagnosis ranged from 6% of those with borderline/mild ID to 21% of those with severe/profound ID. Overall, the most common indications for prescribing an antipsychotic drug were comorbid psychotic illness, anxiety and agitation, and a range of behavioural disturbances. The prevalence of use of antipsychotic drugs to manage challenging behaviour in the absence of concomitant mental illness increased with the severity of ID and accounted for almost half of prescriptions in those with severe/profound ID. Adherence to the audit standards related to documentation of clinical indications and review of efficacy was high. Side effect monitoring was less assiduous. CONCLUSIONS In clinical practice, most prescriptions for antipsychotic drugs in people with ID are consistent with the evidence base and the overall quality of prescribing practice, as measured against recognised standards, is good, although in some patients potentially remedial side effects may not be detected and treated.
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Affiliation(s)
- C Paton
- Pharmacy, Oxleas NHS Trust, Dartford, UK.
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Hardy S, Sanghvi P, Tova Y. Dosimetric Comparison of Simultaneous Integrated Boost vs. Sequential Boost in Patients with Early Stage Breast Cancer. Int J Radiat Oncol Biol Phys 2010. [DOI: 10.1016/j.ijrobp.2010.07.1916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Hardy S, Minnich C, Winterle S, Greiner L, Liauw M. Ergänzende In-situ-Spektroskopie zur Reaktionsaufklärung. CHEM-ING-TECH 2010. [DOI: 10.1002/cite.201050140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Affiliation(s)
- S. Hardy
- The McGill Cancer Center and the Department of Biochemistry, McGill University, Montreal, QC
| | - M.L. Tremblay
- The McGill Cancer Center and the Department of Biochemistry, McGill University, Montreal, QC
- Correspondence to: Michel L. Tremblay, McGill Cancer Center, McGill University, 3655 Promenade Sir-William-Osler, Room 701, Montreal, Quebec H3G 1Y6. E-mail:
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Hardy S, Pascoe D, Twomey D. How many repetitions are necessary to assess ankle dorsiflexion in a field-based setting? J Sci Med Sport 2009. [DOI: 10.1016/j.jsams.2008.12.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Arpesella C, Back HO, Balata M, Bellini G, Benziger J, Bonetti S, Brigatti A, Caccianiga B, Cadonati L, Calaprice F, Carraro C, Cecchet G, Chavarria A, Chen M, Dalnoki-Veress F, D'Angelo D, de Bari A, de Bellefon A, de Kerret H, Derbin A, Deutsch M, di Credico A, di Pietro G, Eisenstein R, Elisei F, Etenko A, Fernholz R, Fomenko K, Ford R, Franco D, Freudiger B, Galbiati C, Gatti F, Gazzana S, Giammarchi M, Giugni D, Goeger-Neff M, Goldbrunner T, Goretti A, Grieb C, Hagner C, Hampel W, Harding E, Hardy S, Hartman FX, Hertrich T, Heusser G, Ianni A, Ianni A, Joyce M, Kiko J, Kirsten T, Kobychev V, Korga G, Korschinek G, Kryn D, Lagomarsino V, Lamarche P, Laubenstein M, Lendvai C, Leung M, Lewke T, Litvinovich E, Loer B, Lombardi P, Ludhova L, Machulin I, Malvezzi S, Manecki S, Maneira J, Maneschg W, Manno I, Manuzio D, Manuzio G, Martemianov A, Masetti F, Mazzucato U, McCarty K, McKinsey D, Meindl Q, Meroni E, Miramonti L, Misiaszek M, Montanari D, Monzani ME, Muratova V, Musico P, Neder H, Nelson A, Niedermeier L, Oberauer L, Obolensky M, Orsini M, Ortica F, Pallavicini M, Papp L, Parmeggiano S, Perasso L, Pocar A, Raghavan RS, Ranucci G, Rau W, Razeto A, Resconi E, Risso P, Romani A, Rountree D, Sabelnikov A, Saldanha R, Salvo C, Schimizzi D, Schönert S, Shutt T, Simgen H, Skorokhvatov M, Smirnov O, Sonnenschein A, Sotnikov A, Sukhotin S, Suvorov Y, Tartaglia R, Testera G, Vignaud D, Vitale S, Vogelaar RB, von Feilitzsch F, von Hentig R, von Hentig T, Wojcik M, Wurm M, Zaimidoroga O, Zavatarelli S, Zuzel G. Direct measurement of the 7Be solar neutrino flux with 192 days of borexino data. Phys Rev Lett 2008; 101:091302. [PMID: 18851600 DOI: 10.1103/physrevlett.101.091302] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2008] [Indexed: 05/26/2023]
Abstract
We report the direct measurement of the 7Be solar neutrino signal rate performed with the Borexino detector at the Laboratori Nazionali del Gran Sasso. The interaction rate of the 0.862 MeV 7Be neutrinos is 49+/-3stat+/-4syst counts/(day.100 ton). The hypothesis of no oscillation for 7Be solar neutrinos is inconsistent with our measurement at the 4sigma C.L. Our result is the first direct measurement of the survival probability for solar nu(e) in the transition region between matter-enhanced and vacuum-driven oscillations. The measurement improves the experimental determination of the flux of 7Be, pp, and CNO solar nu(e), and the limit on the effective neutrino magnetic moment using solar neutrinos.
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Affiliation(s)
- C Arpesella
- INFN Laboratori Nazionali del Gran Sasso, SS 17 bis Km 18+910, 67010 Assergi (AQ), Italy
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Hardy S, Bitner M, Greenwald I, Borg K. 146: Injuries and Illness in a Professional Bicycling Stage Race. Ann Emerg Med 2008. [DOI: 10.1016/j.annemergmed.2008.01.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
Personality disorder (PD) is the most prevalent psychiatric disorder. A methodical literature search identified that PD is under researched compared with other mental health problems such as depression or schizophrenia. Social and psychotherapeutic approaches emerge as dominant treatment approaches with PD where there is good evidence of efficacy. Collaborative group-based therapeutic approaches appear to offer a therapeutic counterpoise to the anti-social traits often prevalent in PD. A retrospective analysis of formal group therapy on acute inpatient units (treating PD patients among other mental health disorders) reveals only one violent incident in over 40,000 treatment hours of formal group therapy. It is argued that group-based and social therapy should be the recommended treatment approach because these approaches have been shown to create a safe and contained milieu, establishing a good base for therapeutic gain with PD patients. The case for widening the scope of collaborative group and community-based therapies is considered and the merits and shortcomings of a key worker system with PD patients are critiqued.
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Affiliation(s)
- G Winship
- School of Education, University of Nottingham, Nottingham, UK.
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Hardy S, Robillard PN. Phenomenological and molecular-level Petri net modeling and simulation of long-term potentiation. Biosystems 2005; 82:26-38. [PMID: 16150533 DOI: 10.1016/j.biosystems.2005.05.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2004] [Revised: 05/13/2005] [Accepted: 05/16/2005] [Indexed: 10/25/2022]
Abstract
Petri net-based modeling methods have been used in many research projects to represent biological systems. Among these, the hybrid functional Petri net (HFPN) was developed especially for biological modeling in order to provide biologists with a more intuitive Petri net-based method. In the literature, HFPNs are used to represent kinetic models at the molecular level. We present two models of long-term potentiation previously represented by differential equations which we have transformed into HFPN models: a phenomenological synapse model and a molecular-level model of the CaMKII regulation pathway. Through simulation, we obtained results similar to those of previous studies using these models. Our results open the way to a new type of modeling for systems biology where HFPNs are used to combine different levels of abstraction within one model. This approach can be useful in fully modeling a system at the molecular level when kinetic data is missing or when a full study of a system at the molecular level it is not within the scope of the research.
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Affiliation(s)
- S Hardy
- Ecole Polytechnique de Montréal, Department of Computer Engineering, Succ. Centre-Ville, Montréal, Qué., Canada H3C 3A7.
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Lowry RJ, Hardy S, Jordan C, Wayman G. Using social marketing to increase recruitment of pregnant smokers to smoking cessation service: a success story. Public Health 2004; 118:239-43. [PMID: 15121431 DOI: 10.1016/j.puhe.2003.09.010] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2003] [Revised: 08/13/2003] [Accepted: 09/01/2003] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To explore what it is like to be a pregnant smoker in Sunderland and to inform the development of a Smoking Cessation Programme; to use qualitative techniques to develop a cessation programme tailored to pregnant smokers. STUDY DESIGN The intervention follows years of social marketing research and development in Sunderland, Wearside, UK. METHODS Information derived from nine focus groups (mainly with women from deprived areas, social class C2D and E) provided insights into the issues facing smoking pregnant women. This information was then used to overcome barriers to smoking cessation using the principles of social marketing. The number of women recruited into a specially designed smoking cessation support initiative was compared with women recruited into comparable groups in the North East. RESULTS Recruitment of pregnant (and non-pregnant) smokers to the new NHS smoking cessation programme in Sunderland has increased during the intervention phase compared with neighbouring Primary Care Trust areas (in which different smoking cessation interventions targeted at pregnant women were being undertaken). CONCLUSIONS This innovative intervention has been successful in generating ideas, guiding development of a customer-friendly service and encouraging women to come forward for smoking cessation support during their pregnancy. The target population have welcomed the approach, and health professionals have enjoyed and benefited from the role play with professional actors.
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Affiliation(s)
- R J Lowry
- Dental School, University of Newcastle upon Tyne, Newcastle upon Tyne, UK.
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